Pada tahun 2020 terdapat keadaan force majeur berupa bencana penyebaran wabah Covid-19 berskala internasional yang tentunya berdampak sangat besar bagi instansi khususnya dalam bidang keuangannya. Penelitian ini memiliki tujuan untuk mengukur kinerja keuangan Dinas Kesehatan Kota Tarakan, agar dapat mengidentifikasi beberapa kegiatan yang tidak layak dan harus dipertimbangkan keberlanjutannya dan menggunakan metode deskriptif pendekatan kuantitatif. Menggunakan konsep Value for money dengan rasio ekonomis, efisiensi dan efektivitas. Hasil penelitian menggunakan rasio ekonomis dikategorikan sangat ekonomis dengan penghematan terhadap anggaran yang telah ditargetkan, rasio efisiensi dikategorikan kurang efisien dikarenakan Dinas Kesehatan Kota Tarakan masih kurang mampu melaksanakan kegiatan dengan realisasi anggaran yang minim, dan rasio efektivitas cukup efektif tetapi masih terdapat kegiatan yang tidak layak secara berturut di setiap tahun. Dinas Kesehatan Kota Tarakan telah menggunakan kepercayaan dan melakukan kontribusi yang diharapkan masyarakat dengan baik seperti hubungan antara instansi pemerintah dengan masyarakat yang merupakan gambaran dari teori stewardship.

Kata Kunci : value for money, ekonomis, efisiensi, efektivitas.

In 2020, there was a major force condition where the disaster of the spread of the COVID-19 outbreak on an international scale, which of course had a huge impact on agencies, especially in the financial sector. This research aim to measure the financial performance of the Tarakan City Health Service to identify several activities that are not feasible and must be considered for their sustainability, using descriptive methods and a quantitative approach. The concept used was Value for money with economic, efficiency, and effectiveness ratios. The results of research using the economic ratio were categorized as very economical with savings on the targeted budget; the efficiency ratio was categorized as less efficient because the Tarakan City Health Service was still unable to carry out activities with minimal budget realization; and the effectiveness ratio was quite effective, but there were still activities that were not economically feasible consecutively every year. The Tarakan City Health Servuce has used trust and made contributions that are expected by the community, such as the relationship between government agencies and the community, which illustrates stewardship theory. Keywords : value for money, economical, efficiency, effectiveness.